Non-Degree Enrollment Form

The Manchester University non-degree application is available to all prospective students who wish to study part-time, take a college course(s), and do not intend to earn a college degree. For first-time college students who wish to enroll full-time at MU, please apply using the undergraduate admissions application HERE.

If you have any questions, please email Melissa West at MKWest@manchester.edu.

Student Demographic Information

First Name*

Preferred First Name (if different from above)

Middle Name

Last Name*

Maiden Name (if applicable)

Birthdate*

Social Security Number*

Gender*

Marital Status*

If married, please provide spouse's name.

Contact Information

Mailing Address*

Country

Street

City

Region

Postal Code

Email Address*

Primary Phone Number

Cell Phone Number

*By submitting this form, you are opting into text message communication from Manchester University. Prospective students may opt-out of text communication at any time by replying "STOP" or contacting the Office of Admissions.

High School Education

High School Name*

Graduation Year*

High School City*

High School State*

College Education

Delete_ID_
Please list all colleges/universities that you have attended.
College/University Name INTERNAL: CEEB Code College/University Start Date College/University Start Date College/University End Date College/University End Date College #1 City College #1 State Level of Study Did you earn a degree at this institution? Did you earn a degree at this institution? Yes No Degree Type Major(s)

Click here to add a college/university.

Present Occupation

*Please select the option below which best describes your current employment status.

Employed (Full-time or Part-time)

Retired

Student

Unemployed

Please provide the following information regarding your current occupation.

Job Title*

Employer Name*

Course Information

*When do you plan to enroll in courses at Manchester University?

*How do you plan to use the credit(s) earned while enrolled at MU?

*If other, please tell us how you will use your credits. Please be specific.

*If you selected preparatory/prerequisites above, do you plan to enroll in a Manchester University academic program in the future?

Yes

No

*In which MU academic program do you wish to enroll after completing preparatory/prerequisite work?

Which preparatory/prerequisite course(s) would you like to enroll in?

Economics (BUS-250)

English Composition (FYWS-111)

Food Preparations w/Lab (NUTR-220 + 220L)

Human Growth and Development (PSYC-224 + 224L)

Macronutrient Metabolism (NUTR-340)

Micronutrient Metabolism (NUTR-330)

Organic Chemistry II w/Lab (CHEM-312 + 312L)

Public Speaking (COMM-110)

Other

Please list the courses you wish to take at Manchester:

Signature & Date

By submitting this document, I, the undersigned, agree to be enrolled and pay all fees associated with the listed classes above at Manchester University. Should I choose to un-enroll from the courses, I must notify the Office of Admissions at admitinfo@manchester.edu.

Please use the following boxes to electronically sign and date your submission.

E-Signature (Full Legal Name)*

Today's Date*